Individual provider Active NPI

Anya De Frias

  • Dentist
  • Valrico, FL
National Provider Identifier
1750993184
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25275 Issued in FL
Practice address
1620 East Brandon Boulevard, FL-60
Valrico, FL 33594
Phone
(813) 681-4874
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25275 FL Primary

Addresses

Primary practice location

1620 East Brandon Boulevard, FL-60
Valrico, FL 33594

Mailing address

1620 East Brandon Boulevard, FL-60
Valrico, FL 33594
Phone (813) 670-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN25275FLMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1750993184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 EAST BRANDON BOULEVARD, FL-60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "33594",
            "telephone_number": "813-670-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 EAST BRANDON BOULEVARD, FL-60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "33594",
            "telephone_number": "813-681-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FRIAS",
        "first_name": "ANYA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.